Evidence map›Paper›PMID 30302145›Full record

ArticleWideochirurgia i inne techniki maloinwazyjne = Videosurgery and other miniinvasive techniques2018

Postoperative complications are associated with worse survival after laparoscopic surgery for non-metastatic colorectal cancer - interim analysis of 3-year overall survival.

Michał Nowakowski, Magdalena Pisarska, Mateusz Rubinkiewicz, Grzegorz Torbicz, Natalia Gajewska, Magdalena Mizera, Piotr Major, Paweł Potocki, Dorota Radkowiak, Michał Pędziwiatr

Open access · goldAbstract read
In one paragraph

Article in Wideochirurgia i inne techniki maloinwazyjne = Videosurgery and other miniinvasive techniques, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 15 papers.

0numbers the graph read from it
0cells of the map it votes in
15citing papers in PubMed
1.0field-weighted citation impact, top 20% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

15 citing papers in PubMed, 22 citations in OpenAlex.

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  13. High compliance to ERAS protocol does not improve overall survival in patients treated for resectable advanced gastric cancer.Wideochirurgia i inne techniki maloinwazyjne = Videosurgery and other miniinvasive techniques · 2020
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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

10 authors at 1 institution in 1 country.

Michał NowakowskiDepartment of Medical Education, Jagiellonian University Medical College, Krakow, Poland.
Magdalena Pisarska2 Department of General Surgery, Jagiellonian University Medical College, Krakow, Poland.
Mateusz Rubinkiewicz2 Department of General Surgery, Jagiellonian University Medical College, Krakow, Poland.
Grzegorz Torbicz2 Department of General Surgery, Jagiellonian University Medical College, Krakow, Poland.
Natalia Gajewska2 Department of General Surgery, Jagiellonian University Medical College, Krakow, Poland.
Magdalena Mizera2 Department of General Surgery, Jagiellonian University Medical College, Krakow, Poland.
Piotr Major2 Department of General Surgery, Jagiellonian University Medical College, Krakow, Poland.
Paweł PotockiDepartment of Oncology, Jagiellonian University Medical College, Krakow, Poland.
Dorota Radkowiak2 Department of General Surgery, Jagiellonian University Medical College, Krakow, Poland.
Michał Pędziwiatr2 Department of General Surgery, Jagiellonian University Medical College, Krakow, Poland.
Jagiellonian University · PL

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

introductionPostoperative morbidity after colorectal resections for cancer remains a significant problem. Data on the influence of complications on survival after laparoscopic colorectal resection are still limited.

aimTo analyze the impact of postoperative complications on long-term survival after radical laparoscopic resection for colorectal cancer. MATERIAL AND

methodsTwo hundred and sixty-five consecutive non-metastatic colorectal cancer patients undergoing laparoscopic colorectal resection for cancer were included in the analysis. The entire study group was divided into two subgroups based on the occurrence of postoperative complications. Group 1 included patients without postoperative morbidity and group 2 included patients with complications. The primary outcome was overall survival.

resultsMedian follow-up was 45 (IQR: 34-55) months. Group 1 consisted of 187 (70.5%) patients and group 2 comprised 78 (29.5%) patients. Studied groups were comparable in terms of sex, age, body mass index, ASA class, cancer staging, localization of the tumor and operative time. Patients in group 1 had significantly better overall 3-year survival compared to those with complications (84.9% vs. 69.8%, p = 0.022). Kaplan-Meier curves showed significantly improved survival rates in patients without complications compared with complicated cases. The Cox proportional multivariate model showed that postoperative complications (HR = 2.83; 95% CI: 1.35-5.92; p = 0.0058) and AJCC III (HR = 3.17; 95% CI: 1.52-6.6; p = 0.0021) were independent predictors of worse survival after laparoscopic colorectal cancer surgery.

conclusionsOur analysis of interim results after 3 years confirms that complications after laparoscopic colorectal cancer surgery have an impact on survival. For this reason, these patients should be carefully monitored after surgery aiming at early detection of recurrence.

Indexed as

colorectal cancerlaparoscopypostoperative complicationssurvival

Identifiers

PMID30302145
PMCPMC6174179
OpenAlexW2807995395

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC-SA
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.